Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | FLME0049970 | FL |
NPI | 1528018694 |
---|---|
Provider Name | Ronaldo Carneiro |
First Address | Atlanta, GA 30384-7575 |
Second Address | Naples, FL 34114 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045803100 | (05) | FL |
D69018 | (02) | FL |